SARAH BLAHA (NPI# 1316334774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316334774 |
| Entity Type | Individual |
| Full Name | SARAH BLAHA |
| Practice Address |
10 Forest Ave Ste 201 Fond Du Lac WI 54935-4111 |
| Mailing Address |
1116 27th St Two Rivers WI 54241-2115 |
| Practice Telephone | 9209336400 |
| Practice Fax Number | 9209331310 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 10801-16 | WI | Dental Providers |
| Street Address |
10 FOREST AVE STE 201 |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328068 | Steven James Schmoldt | Dentist | 10 Forest Ave Ste 201, Fond Du Lac, WI 54935-4111 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265773915 | Carrie Ann Zuehlke | Dental Hygienist | 476 Mustang Ln, Fond Du Lac, WI 54935-9709 | 2013-03-05 |
| 1073821278 | Anita Lynn Behm | Dental Hygienist | 160 S Macy St, Health Department, Fond Du Lac, WI 54935-4241 | 2010-09-22 |
| 1720250491 | Samantha D Twohig | Dental Hygienist | 160 S Macy St, Health Dept, Fond Du Lac, WI 54935-4241 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1659983914 | Rachel Benck | Dental Hygienist | 1089 174th St, Hammond, WI 54015-4831 | 2020-08-18 |
| 1619594710 | Vanessa Jane Loertscher | Dental Hygienist | 103 W. Mcmillan St., Marshfield, WI 54449-3502 | 2020-07-06 |
| 1881242535 | Michelle Amanda Shalander | Dental Hygienist | 308 S 1st Street, Luck, WI 54853 | 2019-08-27 |
| 1689130437 | Theresa Marcie Mock | Dental Hygienist | 8669 Airport Rd, Middleton, WI 53562-4147 | 2019-02-18 |
| 1598229866 | Tonya Marie Evjen | Dental Hygienist | N3615 County Road G, Ladysmith, WI 54848-9389 | 2019-01-30 |
| 1922571884 | Erin Kaye Fandre | Dental Hygienist | 111 W Jackson Street, Third Floor, Wisconsin Rapids, WI 54495-3338 | 2019-01-03 |
| 1790256246 | Heather Renee Walker | Dental Hygienist | 1344 Creston Park Dr Ste 2, Janesville, WI 53545-1113 | 2018-12-10 |
| 1730657974 | Anne Chianello | Dental Hygienist | 11643 47th Ave, Pleasant Prairie, WI 53158-3618 | 2018-11-06 |
| 1891263216 | Stephanie Rice | Dental Hygienist | N4008 Morgan Dr, Waupaca, WI 54981 | 2018-11-03 |
| Find all providers with the same taxonomy | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.